Roslyn Moore Crisp, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5074 Issued in NC

Practice address

1203 Vaughn Rd
Burlington, NC 27217-2846

Phone

(336) 228-8392

Fax

(336) 227-0635

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rcrisp557602@direct.unc.nchie.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Roslyn M. Crisp

  • Pediatric Dentistry
  • Burlington, NC
  • NPI 1538331350
  NPD (past)
• Roslyn M. Crisp DD, Ms, PA

  • Dentist
  • Burlington, NC
  • NPI 1881985398
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386784585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 VAUGHN RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172846",
            "telephone_number": "336-228-8392",
            "fax_number": "336-227-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 VAUGHN RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172846",
            "telephone_number": "336-228-8392",
            "fax_number": "336-227-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISP",
        "first_name": "ROSLYN",
        "middle_name": "MOORE",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "5074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creative Directions Inc.
• Creatively Renewed Living, LLC
• Michael Waring Crilly
• Jennifer Durham Crisp, DDS, MS
• Malik Crisp
• Erin Michele Crissman, PA-C
• Granville Mason Croley, PA-C
• Cross Cultural Care LLC
• Crossroads Couples and Family Therapy, PLLC
• Crossroads Sexual Assault Response & Resource Center Inc

• Pediatric Dentistry in Burlington, NC
• Providers in Burlington, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.